阿奇霉素序贯用于小儿支原体肺炎治疗疗效-成本分析.docVIP

精品论文 参考文献 阿奇霉素序贯用于小儿支原体肺炎治疗疗效-成本分析 江油市人民医院药剂科 621700 【摘 要】目的 探讨对支原体肺炎的小儿患者应用阿奇霉素序贯疗法有何疗效。方法 对我院儿科近期收治的110例支原体肺炎的小儿患者的临床资料和治疗过程进行回顾性分析，根据患者的具体病情和知情同意原则，将这些患者分为实验组和对照组，每组55例患者，对照组患者应用红霉素进行治疗，而实验组患者则应用阿奇霉素序贯疗法，一段时间后比较两组患者的症状缓解情况以及并发症的发生等。结果 实验组患者的症状缓解较为明显，治疗的总有效率达到了93.8%，明显高于对照组，患儿应用后未出现明显的不良反应，满意度较高。结论在小儿支原体肺炎的治疗中应用阿奇霉素序贯疗法，可以取得较好的效果，患儿症状缓解快而明显，未见明显的并发症，成本较低，满意度较高，值得推广使用。 【关键词】：阿奇霉素；序贯疗法；小儿支原体肺炎；效果；成本 【Abstract】 Objective To explore the application of mycoplasma pneumonia pediatric patients the efficacy of sequential therapy of azithromycin in place.Methods The clinical data and treatment pediatric hospital recently treated 110 cases of mycoplasma pneumonia in pediatric patients were retrospectively analyzed，according to the patients specific condition and informed consent，these patients were divided into experimental and control groups of 55 patients in the control group of patients treated with erythromycin，while the experimental group of patients is azithromycin sequential therapy，after a period of time to alleviate the symptoms of the two groups of patients as well as complications and so on.Results remission of symptoms in the experimental group of patients is more obvious，the total efficiency of the treatment 93.8%，significantly higher，significant adverse reactions in children does not occur after application，higher satisfaction.Conclusion In the treatment of children with mycoplasma pneumonia azithromycin sequential therapy，can achieve better results，faster and significantly relieve symptoms in children，no significant complications，lower cost，higher satisfaction，should be introduced. 【Key words】 azithromycin；sequential therapy；mycoplasma pneumonia in children；effects；cost 近年来，随着环境质量的下降和空气污染的加重，呼吸系统疾病的发生率逐年增高，小儿呼吸道狭窄，粘膜软而脆弱[1]，感染后充血水肿，容易出现呼吸困难和感染的蔓延等，同时，小儿肺部尚未发育完全，肺泡数量少，含气量小，加之儿童的新陈代谢速度较快，耗氧量大，一旦发生呼吸系统的疾病[2]，后果严重，支原体肺炎在儿童中的发病率较高，由于该疾病起病隐匿，症状无特异性，因此早期发现早期治疗有一定难度，我院对部分支原体肺炎的患儿进行阿奇霉素序贯疗法，取得了较好的效果，现报道如下。 1.资料和方法 1.1资料 我院在2013